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Scientific freedom.

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Ethics, Professional↗

Origins and consequences of the elongation of the human menstrual cycle during the menopausal transition: the FREEDOM Study.

The menopausal transition is characterized by the appearance of elongated cycles, which become longer and more frequent as menopause approaches. Several endocrine abnormalities have been attributed to these cycles; however, no quantitative studies of their causes and consequences exist to date. This study is based on sequential daily urinary concentrations of FSH, LH, estrone 3-glucuronide (E1G), and pregnanediol 3-glucuronide (PdG) from 34 women with perimenopausal menstrual irregularity (total of 289 cycles). The timing of ovarian response was determined as the day of E1G take-off (ETO). Other parameters measured were the mean FSH concentration before ETO (FSH(ETO)) and the midluteal levels of PdG, E1G, and LH. There was a strong parallelism between ETO and cycle length variability. FSH(ETO) levels increased gradually with ETO. Both ETO and FSH(ETO) were inversely related to luteal PdG and directly related to E1G. PdG and LH levels were inversely related. All comparisons were highly significant (P < 0.0001). We conclude that delayed ovarian response underlies the elongation of the menstrual cycle in the menopausal transition, which is likely to be caused by a temporary lack of ovarian responsiveness to FSH. A progressive decline in luteal PdG with increased E1G occurs in association with these trends.

Adult↗

[A path to freedom: an experience in semiology and semiotechnique].

The work reports the experience of planning the course: Semiology and Semiotechnique which is part of Nursing new curriculum. The objectives were: stimulating creativity and sensitivity that care bears in techniques development; valuing feelings and emotions in the establishment of nurse and patient relationship, allowing some reflection and self-knowledge in collective experience, and establishing relationship between professors and students based upon partnership, compromise and on mutual feeling/doing/learning. Methodological work and art creativity privileged sensitivitiness as the necessary step for formation process and together with this developed from arts and creativity and understand these workshops performance and developing a critical as well as dynamic group. The results show that it is an experience as an opportunity of developing critical potential, critical and theoretical, creative towards conscience which leads to Liberty in Nursing.

Creativity↗

[Madness in freedom: experiences in Crato-CE (1930-1970)].

This study aims at identifying the most meaningful characters in the social imaginary and narrating its experience. This is a social-historical study in which oral (semi-structured interviews) and written documental sources were used. The interpretation of data was based on the archeological studies by Foucault on the history of madness and on other authors who worked with the themes: psychiatric madness and psychiatric reform. The narration of madness in the scenery of Crato indicates the existence of a multiplicity that reveals diversity, transcending the traditional psychiatric paradigm, which has as its principle the idea that the "mad person" should be isolated from society. We expect that this study contribute to the debate of nursing professional in the field of psychiatric and mental health.

Brazil↗